26th Sep 2025
Ptosis, or droopy eyelid, can affect both the functioning of the eyes and the appearance. Many patients experience eyelid ptosis, which can impact their vision and overall look.
At Kensington Medical we can effectively repair eyelid ptosis, creating a rejuvenated eye, an opening up of the eyes and in many cases reducing eye strain.
In our blog, we explain what ptosis is, what causes ptosis, the surgical procedures that really work, ptosis recovery and aftercare, the best age for ptosis repair, and why it is a successful and popular procedure.
What is Ptosis?
Ptosis, also known as drooping eyelids, is defined as the drooping of the upper eyelid. It can partially or completely cover the eye.
Ptosis can lead to obstructed vision and eye strain. Drooping eyelids can also cause watery eyes, as they may interfere with tear drainage and lead to increased tearing. For many, it is the cosmetic appearance that bothers them. At Kensington Medical, our expert plastic surgeons treat the upper eyelid for both functional and cosmetic issues related to ptosis.
Causes of Ptosis
Ptosis can be caused by:
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Congenital (present at birth) factors and
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Acquired factors.
Congenital ptosis can be due to underdeveloped muscles responsible for lifting the eyelids.
Acquired ptosis can be caused by:
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Age
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Genetics
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Muscle weakness
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Nerve damage
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Eye injury
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Certain medical conditions (such as myasthenia gravis)
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Long-term use of contact lenses
Adult patients are more likely to develop acquired ptosis due to ageing, long-term use of contact lenses, and other factors.
Initial Consultation: Your First Step Toward Brighter Eyes
The initial consultation is a vital first step for anyone considering ptosis surgery or droopy eyelid treatment. During this appointment, you’ll meet with an experienced surgeon who will take the time to understand your concerns about your upper eyelids and discuss your goals for eyelid surgery. This is your opportunity to share your medical history, including any previous eye surgery, contact lens wear, or medical conditions that could be affecting your eyelids.
Your plastic surgeon will perform a detailed examination of your eyelids, paying close attention to the levator muscle tendon and the overall function of the levator muscle. They’ll assess the degree of droopy eyelid or droopy eyelids, check for excess skin, and determine whether you may benefit from ptosis repair surgery, upper blepharoplasty, or another tailored approach. If you have congenital ptosis or a medical condition affecting your eyelids, your surgeon will factor this into their recommendations.
The initial consultation is also the perfect time to ask questions about the procedure, the expected recovery process, and how to achieve the best cosmetic result. Your surgeon will explain the potential risks, such as moderate bruising, sharp pain, excessive bleeding, or scarring, and provide guidance on how to minimize these concerns. You’ll also learn about what to expect after ptosis repair, including tips for a smooth recovery and how to care for your eyelids post-surgery.
Choosing a highly qualified and experienced surgeon is essential for successful ptosis repair and a natural-looking outcome. A thorough initial consultation ensures that your treatment plan is customised for you, giving you confidence as you move forward with your droopy eyelid treatment. By taking this important first step, you’re on your way to brighter, more open eyes and renewed self-assurance.
Ptosis Repair Surgery: What to Expect
Ptosis repair surgery, known as blepharoplasty or eyelid lift surgery, is a type of cosmetic surgery that lifts and tightens the eyelid for both functional and aesthetic improvement. The procedure is typically performed by experienced surgeons at a specialised clinic. During surgery, a small incision is often hidden within the natural crease of the eyelid or made using an internal approach to minimise visible scarring. In some cases, lower blepharoplasty can be combined with ptosis repair for comprehensive eyelid rejuvenation. The surgery is usually performed under local anaesthesia, sometimes with IV sedation to enhance patient comfort. Depending on the severity and cause of ptosis, different surgical techniques can be used. Advanced methods ensure that any scar is barely visible after healing. Sutures or stitches are used to close the incision and may be absorbable or removed during a post operative follow-up visit.
Recovery and Aftercare following Ptosis surgery
Most patients experience swelling, bruising, and discomfort in the eye area after ptosis repair surgery, and these symptoms are normal during the recovery process. Aftercare advice, including instructions provided by our medical team, will be given to all patients to ensure proper healing. A padded dressing may be applied immediately after surgery to protect the eyelid and help reduce swelling. We recommend using an ice pack on the eyelids during the first few days to help reduce swelling and bruising. Thick ointment and eye drops may be prescribed to prevent dryness and promote healing. After showering or bathing, gently dry the eyes with a clean cotton pad to avoid irritation.
It is important to avoid heavy lifting and strenuous activities during the initial recovery period. It is also normal for the eyelids to feel tight or sore as they heal. Most people can go home the same day as their surgery, and most patients return to normal activities within a few weeks. Sutures or stitches are typically removed or dissolve within 1 week, and a follow up appointment will be scheduled to monitor healing and check the eyelid skin and position. Recovery typically takes two weeks; however, it does depend on each patient and how they follow the recovery advice.
If you experience severe pain, excessive bleeding, or signs of infection, contact your surgeon immediately. In rare cases, repeat surgery may be necessary if the desired result is not achieved.
What is the best age for Ptosis Repair?
There is no best age for ptosis repair. It is popular within the mid 40’s, 50’s, 60’s and 70’s. It usually depends on the severity of the condition and how it impacts the patient’s life.
- Congenital ptosis repair may be considered earlier in life so it can prevent vision development issues plus possibly to improve the facial symmetry.
- For acquired ptosis (through age), the timing depends on when the condition becomes noticeable enough to act and if it affects the quality of life.
Why is Ptosis repair popular?
Ptosis repair procedures are popular because it can achieve a more youthful and open eye appearance. The functional benefits of ptosis repair, such as improved vision and reduced eye strain, also make it a popular procedure.
How can we help you take that next step
At Kensington Medical our experienced facial surgeons have carried out hundreds and hundreds of ptosis repair procedures. The best option is to book a consultation. During your consultation your plastic surgeon will discuss what options are available, answer any questions you may have, explain the procedure along with preoperative and post operative care and recovery. They will take the time to show you before and after photos of Ptosis repair. If you have a timeline or special event in mind, they will advise on dates to ensure you look you best for that date. To find out more about ptosis repair contact us.
For further information, see our videos by Mr David Gateley, Plastic surgeon.
To find out about what the journey entails and read about FAQs visit our blepharoplasty page